2022-08-10T13:24:00-05:00 2021-09-30 990 2020-10-01 043136318 Blood Research Institute Inc BLOO 6177138000 300 Longwood Avenue Boston MA 02115 Doug Vanderslice Treasurer 6179193308 2022-08-08 Doug Vanderslice 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Kevin B Churchwell MD 300 Longwood Avenue Boston MA 02115 553085 0 X N/A X 1991 MA Owning & leasing real estate in connection with & for the benefit of Children's Hospital Corp. 4 1 0 0 0 0 0 0 0 0 20793 0 1033179 553085 1053972 553085 0 0 0 0 0 0 0 0 0 0 0 0 0 1053972 553085 7377154 6437154 10943688 9450603 -3566534 -3013449 Owning and leasing real estate and other property in connection with and for the benefit of the Children's Hospital Corporation. 0 0 0 0 553085 Owning and leasing real estate and other property in connection with and for the benefit of the Children's Hospital Corporation. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 1 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 MA X X Doug Vanderslice Treasurer 6179193308 300 Longwood Avenue Boston MA 02115 Kevin Churchwell MD President & Trustee (from 3/31/21) 0.00 55.00 X X 0 2386105 81496 Sandra Fenwick President & Trustee (through 3/31/21) 0.00 55.00 X X 0 1967534 70716 Doug Vanderslice Treasurer & Trustee 0.00 55.00 X X 0 1293368 69528 Michele Garvin Esq Secretary & Trustee 0.00 55.00 X X 0 883606 58799 Douglas Berthiaume Chairman 0.00 5.00 X 0 0 0 0 6530613 280539 0 0 1 0 0 553085 0 553085 553085 553085 553085 553085 0 0 0 0 0 0 2836545 1896545 18898703 14358094 4540609 4540609 7377154 6437154 220267 220267 48417 48417 2888912 1388912 7786092 7793007 10943688 9450603 X -3566534 -3013449 -3566534 -3013449 7377154 6437154 553085 0 X 0 1 X 1 0 X X 1 Children's Hospital Corporation 042774441 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 15457465 10916856 4540609 3441238 3441238 0 4540609 Capital Lease Obligations 695682 Due to Affiliates 7097325 7793007 0 1 0 0 0 0 0 0 0 Kevin Churchwell MD President & Trustee (from 3/31/21) 0 929644 0 1117598 0 338863 0 22800 0 58696 0 2467601 0 0 Sandra Fenwick President & Trustee (through 3/31/21 0 1383563 0 0 0 583971 0 31350 0 39366 0 2038250 0 0 Doug Vanderslice Treasurer & Trustee 0 815287 0 150257 0 327824 0 22800 0 46728 0 1362896 0 0 Michele Garvin Esq Secretary & Trustee 0 644253 0 105549 0 133804 0 22800 0 35999 0 942405 0 0 Part I, Line 4b Children's Hospital Corporation, a related organization, made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contributions are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for Children's Hospital Corporation employee benefits and not for Blood Research Institute, Inc. Trustee or Officer of the Board services and/or responsibilities. Kevin Churchwell, received in 2020, a contribution of $301,500 Sandra Fenwick, received in 2020, a contribution of $539,500 Michele Garvin, received in 2020, a contribution of $97,680 Doug Vanderslice, received in 2020, a contribution of $229,480 Part II: Compensation is for Children's Hospital Corporation executive/employee services; not for Blood Research Institute, Inc. Trustee or Officer of the Board services. Form 990, Part VI, Section A, line 6 Children's Medical Center Corporation is the sole Member of Blood Research Institute. Form 990, Part VI, Section A, line 7a Children's Medical Center Corporation, as the sole Member of Blood Research Institute, elects the governing body of the Organization. Form 990, Part VI, Section A, line 7b Children's Medical Center Corporation is the sole Member of Blood Research Institute and has the right to elect directors and other powers and rights as vested in them by law, the articles of organization or the By-Laws of the organization. Form 990, Part VI, Section B, line 11b The 990 was prepared by the staff of the Children's Hospital Corporation. The 990 was then provided to the Treasurer for review. Form 990, Part VI, Section B, line 12 Currently Blood Research Institute, Inc. has no conflict of interest policy. The Officers and Trustees of Blood Research Institute are also Officers and Trustees of the sole member, Children's Medical Center Corporation, and annually discloses any conflicts of interest under the Children's Medical Center Corporation's conflict of interest policy. Form 990, Part VI, Section B, line 15 Blood Research Institute, Inc. does not have any employees and does not compensate its Trustees or Officers of the Board. Form 990, Part VI, Section C, line 19 The Organization's governing documents, audited financial statements, and Form 990 are available upon request. The Organization's Form 990 is also available at the website of Massachusetts' Attorney General. Form 990, Part I, Line 4 and VI, Line 1b - Governing Body & Management The filing organization has one independent member of the governing body. The other members of the governing body are compensated by a related organization. However, the filing organization is part of an integrated delivery system of organizations, including Children's Hospital that has community boards. Children's Medical Center Corporation 300 Longwood Avenue Boston MA 02115 041174680 Holds & manages securities & real estate investments for subsidiaries MA 501(c)(3) Line 12c, III-FI N/A 0 Children's Hospital Corporation 300 Longwood Avenue Boston MA 02115 042774441 Pediatric Teaching and Research Hospital MA 501(c)(3) Line 3 Children's Medical Center Corp 0 CHB Properties Inc 300 Longwood Avenue Boston MA 02115 043323330 Holds & manages satellite ambulatory centers; real estate investments MA 501(c)(3) Line 10 Children's Medical Center Corp 0 Longwood Research Institute Inc 300 Longwood Avenue Boston MA 02115 042781368 Medical & scientific research; holds real estate MA 501(c)(3) Line 12c, III-FI Children's Medical Center Corp 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1